I was let go !

Nurses General Nursing

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i'm a new grad, started 1 wk orientation at ltc last week. this is how it went and why i was asked to consider somewhere else:

1. the 1st preceptor i had came down on me alittle hard when i was giving out meds for the 1st time. she also got annoyed with me asking questions.

2. changed preceptors and asked for more time.

3 got more time and my 2nd preceptor wondered why i asked for more orientation time because i was giving out meds so well

4. had to do a med pass today, where someone other than the preceptor watches u give out meds - failed it, here's why:

-i put my meds on a tray and set it down on a chair next to the resident, to give it- according to the person giving the med pass this is not allowed

- she says i didnt wash my hands long enough- even though i was counting as i washed my hands, and 1 or 2 little not drastic mistakes were made- i was nervous, she said these were the problems not giving out meds themselves.

this is annoying and discouraging seeing that it took me 5 mo to find this job, cause here in nyc everyone wants pn with experience. what do you guys think, and what should i do!:trout:

i posted earlier on how i was ''let go'' on my new job. anyway, do you all think 1 week of orientation is enough for a new grad (pn) working in a nrsg home with 40 residents.

Specializes in acute care.

i strongly believe that everything happens for a reason. not only will you find something better, you will be laugh at this experiece...the alf i am working in is looking 4 an lpn but from the way these folks act here, you may not be well received here, either...too bad because you would love the residents here! but anyway, don't you go to liu? i start the nursing sequence next fall, when do you start?

thanks everyone for the support and the links for hhc, i will try them. i still feel alittle guilty about what happened, it seems as though some nurses don't remember when they were new. i was so surprised when the don let me go, i was doing so well all along and she herself said that i gave out meds fine, but i guess she couldn't get over the handwashing, etc.. mistakes.
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Specializes in Maternity.

I'm Sorry Top Hear That But Look At It As A Blessing In Disguise. You Will Find Some Thing Better. Good Luck And Don't Give Up.

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HOB should always be elevated during continous feed and after bolus

i have had a patient who had an incompetant peg tube and checking placement with air produced same sounds as if it were in the stomach aspiration brought forth milk from last feeding, patient was in distress

the previous feeding had gone into peritoniteal cavity abdominal wall was rigid

yo say that it has been 5 minths since graduation? maybe some of the skills and the self confidence has eroded a bit.. look for a less stressful job..caring for a whole floor of patients is difficult for an experienced nurse and you with poor orientation really had no chance

you will do well as soo as you get your feet wet

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Specializes in Licensed Practical Nurse.
I strongly believe that everything happens for a reason. Not only will you find something better, you will be laugh at this experiece...the alf I am working in is looking 4 an LPN but from the way these folks act here, you may not be well received here, either...too bad because you would love the residents here! But anyway, don't you go to LIU? I start the nursing sequence next fall, when do you start?

Well I'm a freshman, so I won't be starting until fall '08, still finishing my pre- reqs, but when you do start tell me how the program is I heard from senior that they have good passing rates and that the proff are helpful, Good Luck!;)

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Specializes in acute care.

Lol, sorry when I said next Fall, I meant fall of 08 so I guess I will see you next year. I start this summer as a transfer student and will be sophmore status. Many of my general ed classes transferred over and this summer, fall and spring Im finishing up the science pre reqs required by the nursing dept. Two very good friends of mine graduated from the program a few years ago. We both will do fine.

Well I'm a freshman, so I won't be starting until fall '08, still finishing my pre- reqs, but when you do start tell me how the program is I heard from senior that they have good passing rates and that the proff are helpful, Good Luck!;)
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Specializes in Licensed Practical Nurse.
lol, sorry when i said next fall, i meant fall of 08 so i guess i will see you next year. i start this summer as a transfer student and will be sophmore status. many of my general ed classes transferred over and this summer, fall and spring im finishing up the science pre reqs required by the nursing dept. two very good friends of mine graduated from the program a few years ago. we both will do fine.

hopefully, i'm just scared about hesi, but this girl i know that took it about a month ago said its no big deal, its 10 sections though. i just can't wait to be an rn!;)

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Specializes in Licensed Practical Nurse.
lol, sorry when i said next fall, i meant fall of 08 so i guess i will see you next year. i start this summer as a transfer student and will be sophmore status. many of my general ed classes transferred over and this summer, fall and spring im finishing up the science pre reqs required by the nursing dept. two very good friends of mine graduated from the program a few years ago. we both will do fine.

hopefully, i'm just scared about hesi, but this girl i know that took it about a month ago said its no big deal, its 10 sections though. i just can't wait to be an rn!;)

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Specializes in ortho(med surg) and OB, mostly L&D.

only 1 week of orientation in a nursing home is not acceptable to me. where i am from its usually 6-8wks and you can ask for more if you feel like you need it, this is for a hospital. it should be no different in a nursing home...i think that's kinda dangerous...no new grad knows everything i know i don't!

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Specializes in Geriatrics, Cardiac, ICU.

Well, the nurses you were working with are the ones who need to be counseled because PEG tubes aren't checked for placement; NG tubes are. You check for residual if you are feeding. The water is for flushing to see if it's patent and to keep it from clogging up. You check an NG tube which goes through the nose or mouth.

I'd be glad I was out of there.

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Well, the nurses you were working with are the ones who need to be counseled because PEG tubes aren't checked for placement; NG tubes are. You check for residual if you are feeding. The water is for flushing to see if it's patent and to keep it from clogging up. You check an NG tube which goes through the nose or mouth.

I'd be glad I was out of there.

I'm confused now. I remember being taught in school to check PEG placement by pushing so many cc's of air (don't remember how many) and to place the stethoscope on a certain part of the abdomen to listen for the bubbling sound. I also remember doing this with a nurse in clinicals in a LTC.

And it was definitely a PEG.

So, were the students in my class taught wrong on this one? I know they also taught about aspirating and checking the color of gastric contents. But I don't remember much about it.

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Specializes in Geriatrics, Cardiac, ICU.
I'm confused now. I remember being taught in school to check PEG placement by pushing so many cc's of air (don't remember how many) and to place the stethoscope on a certain part of the abdomen to listen for the bubbling sound. I also remember doing this with a nurse in clinicals in a LTC.

And it was definitely a PEG.

So, were the students in my class taught wrong on this one? I know they also taught about aspirating and checking the color of gastric contents. But I don't remember much about it.

A PEG is surgically inserted, so it being in the wrong place is unlikely; it goes directly into the stomach. A nasogastric tube goes through the nostril past the throat, into the esophagus and into the stomach. You use air to check placement because the tube may migrate back up to the lungs and you don't want to use water to check placement or put something down the tube and have it enter the lungs.

A J tube enters directly into the jejenum so no risk of fluid entering lungs. A PEG tube enters the stomach; neither of these pass the lungs. I guess you could check a PEG tube placement if you wanted, but I was told that it was not likely to be out of place.

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Specializes in acute care.

according to liu's website: "students progressing to the professional phase of the nursing program must take the hesi a2 assess test. students are required to achieve a minimum average score of 70 on the hesi a2 vocabulary, grammar, reading comprehension, and math sections to progress to the professional phase of the major" .....it doesn't sound like it will be difficult...don't worry yourself too much, you have an advantage over me....i should be the one who is scared

hopefully, i'm just scared about hesi, but this girl i know that took it about a month ago said its no big deal, its 10 sections though. i just can't wait to be an rn!;)
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